Re: CTSCAN: Dr. von Almen
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Fri, 4 Jan 2008 11:02:36 -0600 (CST)
Robin
This is a very nonspecific finding that does not mean anything concrete
to me. I suspect you will need to see a gastroenterologist for full
evaluation...Dr. von Almen
At Thu, 3 Jan 2008, Robin wrote:
>
>Hi Dr. Bill....
>
>I just got the written report from the CT Scan. As I said before, there
>is nothing with the ureters. There is some discussion about my colon. I
>was wondering if you could tell me your thoughts on this. I do see my
>GYN next week for another post op exam, but was hoping you could tell me
>your thoughts.
>
>If it is colitis, which type?
>
>I am going to scream is one more thing comes up! I think I have had my
>fair share of things!!!!
>
>Thank you!!!!
>
>The report reads:
>
>"Lung bases are clear. Liver is homogeneous without focal hepatic mass.
>The patient is status post cholecystectomy with surgical clips in the
>gallbladder fossa. The patient is status post splenectomy and
>pancreatectomy. Splenic collaterals are identified in the left upper
>quadrant. Kidneys enhance bilaterally and excrete symmetrically. On
>delayed images, contrast is identified within the ureters, which extend
>to the bladder. No contrast extravasation is identified on delayed
>images. There is no abdominal lympadenopathy by CT size criteria,
>although shotty aortocaval and left paraaortic lymph nodes are
>identified. Portions of the GI tract in the abdomen reveal focal
>colonic segment of borderline wall thickening and mucosal enhancement in
>the left upper quadrant."
>
>IMPRESSION:
>
>Multiple postoperative changes in a patient who is status post
>cholecystectomy, splenectomy, pancreatectomy and whipple procedure.
>Splenic varices are noted.
>
>Nonspecific appearance of the colon with area of mucosal enhancement to
>the left of sigmoid, as well as mucosal mucosal enhancement at the
>splenic flexure with mild bowel wall thickening. Please correlate for
>colitis.
--
Note: Opinions expressed here are for educational purposes
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William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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